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Organization
WOLLMAN INC
Active
Organization
WOLLMAN INC
Active
Other names
WOLLMAN ANDES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS WOLLMAN RPH (OWNER)
(605) 925-7534
Entity
Organization
Contact information
Practice address
332 MAIN ST, LAKE ANDES, SD 57356
(605) 487-7685
(605) 487-7685
Mailing address
332 MAIN ST, PO BOX 730, LAKE ANDES, SD 57356
(605) 487-7685
(605) 487-7685
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
100-0029
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2093757
PK
—
Enumeration date
01/03/2007
Last updated
10/20/2014
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